Md. Code Regs. 10.07.14.21 - Preadmission Requirements
A. Before
Move In.
(1) Before admission the assisted
living manager or designee shall determine whether:
(a) The resident may be admitted under the
assisted living program's licensure category; and
(b) The resident's needs can be met by the
program.
(2) Within 30
days before admission, the assisted living manager or designee shall determine
admission eligibilities described in §A(1) of this regulation based on
completion of a resident assessment using the Resident Assessment Tool as
described in §B of this regulation. The Department may modify the level of
care determination made by the assisted living program at any time. The
Resident Assessment Tool:
(a) Determines the
resident's required level of care;
(b) Forms the basis for development of the
resident's service plan; and
(c)
Determines whether the resident needs awake overnight monitoring.
B. Resident Assessment
Tool.
(1) Within 30 days before admission,
the assisted living program shall collect, on the Resident Assessment Tool
written information about a potential resident's physical condition and medical
status.
(2) Information on the
Resident Assessment Tool shall be based on an examination conducted by a
primary physician, certified nurse practitioner, certified registered nurse
midwife, registered nurse, or physician assistant who shall certify that the
information on the Assessment reflects the resident's current health
status.
(3) If the potential
resident is admitted on an emergency basis by a local department of social
services, the required assessment using the Resident Assessment Tool shall be
completed as soon as possible but no later than 14 days of the emergency
admission.
(4) Information on the
assessment shall include at a minimum:
(a)
Recent medical history, including any acute medical conditions or
hospitalizations;
(b) Significant
medical conditions affecting functioning, including the individual's ability
for self-care, cognition, physical condition, and behavioral and psychosocial
status;
(c) Other active and
significant chronic or acute medical diagnoses;
(d) Known allergies to foods and
medications;
(e) Medical
confirmation that the individual is free from communicable tuberculosis, and
other active reportable airborne communicable diseases;
(f) Current and other needed
medications;
(g) Current and other
needed treatments and services for medical conditions and related
problems;
(h) Current nutritional
status, including height, weight, risk factors, and deficits;
(i) Diets ordered by a physician;
(j) Medically necessary limitations or
precautions; and
(k) Monitoring or
tests that need to be performed or followed up after admission.
C. Functional
Assessment. Within 30 days before admission, the assisted living manager, or
designee, shall collect on the Resident Assessment Tool the following
information regarding the current condition of each resident:
(1) Level of functioning in activities of
daily living;
(2) Level of support
and intervention needed, including any special equipment and supplies required
to compensate for the individual's deficits in activities of daily
living;
(3) Current physical or
psychological symptoms requiring monitoring, support, or other intervention by
the assisted living program;
(4)
Capacity for making personal and health care-related decisions;
(5) Presence of disruptive behaviors, or
behaviors which present a risk to the health and safety of the resident or
others; and
(6) Social factors,
including:
(a) Significant problems with
family circumstances and personal relationships;
(b) Spiritual status and needs; and
(c) Ability to participate in structured and
group activities, and the resident's current involvement in these
activities.
D. Resident Requirements for Awake Overnight
Staff.
(1) Before admission, the assisted
living manager shall ensure that the resident is assessed using the Resident
Assessment Tool.
(2) When the
resident scores in any of the areas identified as "Triggers for Awake Overnight
Staff" in the Resident Assessment Tool, the assisted living program shall
provide awake overnight staff or document why awake overnight staff is not
necessary in accordance with Regulation .14C of this chapter.
E. Short-Term Residential Care
Requirements.
(1) For persons admitted for
short-term residential care, only the following are required:
(a) Current physical condition and medical
status as specified in §B(4) of this regulation, and functional assessment
as specified in §C of this regulation; and
(b) A resident agreement, in accordance with
Regulations .24 and .25 of this chapter.
(2) Other than the information required in
§D(1) of this regulation, additional information is not required for
subsequent short-term admissions if the resident or the resident's
representative certifies that there has been no significant change in the
resident's service needs.
F. A resident admitted as an emergency
placement by a local department of social services is exempt from all physical
examination and assessment requirements of this regulation if the resident is
in temporary emergency shelter and services status, not to exceed 14 days, with
notification to the Department of the placement within 48 hours.
Notes
Regulation .21P adopted effective March 29, 2004 (31:6 Md. R. 508)
Regulations .21 adopted effective December 29, 2008 (35:26 Md. R. 2249)
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